Blue Cross and Blue Shield of Montana
Blue Cross Medicare Advantage Optimum (PPO)
2026 Medicare Advantage with Part D in Montana · PPO · Plan H0107-004
3.5 overall star ratingCost Summary
Monthly premium
$128
Max out-of-pocket (in-network)
$4,700 / yr
Drug deductible
$300 / yr
Star rating
3.5 / 5
Where it's offered
Beaverhead, Big Horn, Broadwater, Carbon, Cascade, Chouteau, Custer, Deer Lodge, Fergus, Flathead, Gallatin, Glacier, Golden Valley, Granite, Hill, Jefferson, Judith Basin, Lake, Lewis and Clark, Liberty, Lincoln, Madison, Meagher, Mineral, Missoula, Musselshell, Park, Pondera, Powell, Ravalli, Rosebud, Sanders, Silver Bow, Stillwater, Sweet Grass, Teton, Toole, Wheatland, Yellowstone
Figures from the official CMS 2026 Landscape file. Visit copays and extra benefits (dental, vision, etc.) are in the plan's Summary of Benefits and the online enrollment portal.
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